MORAN MANOSOV
NPI 1972385714
Dentist - General Practice in Modesto, CA

Active since October 17, 2023
2020 COFFEE RD STE E1, MODESTO, CA 95355(209) 571-9855 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moran Manosov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORAN MANOSOV (NPI 1972385714) is an individual general practice provider in Modesto, California, licensed in California (109599) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1972385714
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMORAN MANOSOV
Location Address2020 COFFEE RD STE E1Modesto, CA 95355-2421
Mailing Address2619 Aurora Astorga DrTracy, CA 95376-8202 · (408) 857-9046
Sole ProprietorYes
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
NPI 1972385714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 109599
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2020 COFFEE RD STE E1, Modesto, CA 95355

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2020 COFFEE RD STE E1
MODESTO, CA 95355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moran Manosov's NPI number?

The NPI number for Moran Manosov is 1972385714. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Moran Manosov located?

Moran Manosov practices at 2020 Coffee Rd Ste E1, Modesto, CA 95355. The listed phone number is (209) 571-9855.

What is Moran Manosov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Moran Manosov accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Moran Manosov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moran Manosov was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.